INSPECTION FORMAT

Education Block__________CLUSTER___________SCHOOL_____________
Date of Inspection___________________________________________________
Teacher Statement: - CHT HT JBT (PAT, CONCT, JBT)
Student Attendance
I II III IV V Total
B+G B+G B+G B+G B+G Boy Girl

Total :- ___________________
Present :- ___________________ Addn No

3. Admission & Withdrawal Register checked:-Sr No_____ to Sr. No____

4. Total Rooms Kacha Pukka
5. M.D.M. Register maintained Yes / No
6. Furniture
Table Chair Desk Stool Almirah

7. Toilet_____Total ______Functional Clean / Unclean

8. Electricity - Wiring only Yes / No

9 Drinking Water Facility Yes / No
10 Boundary Wall is available Yes / No
11 Play ground is available Yes / No
12 Books issued to students Yes / No
13 Classes taught by teacher 01 02 03 04 05
Name of Teacher ______________
Class ______________
Name of Teacher ______________
Class ______________
Name of Teacher ______________
Class ______________
Name of Teacher ______________
Class ______________
Name of Teacher ______________
Class ______________
14 MDM Incharge ______________
15 Contact No of Teacher ______________
16. Regular grants for the year

SDG MG TTM Contingency Total

Received
Spent
Total
17. CWSN Students Yes / No
18. Date of Previous Inspection ___________
19. SDP Completed Yes / No
20. VER Maintained Yes / No
21. Calander Activities for the year
22. SMX Meeting last month
23. Kitchen Shed Yes / No
24. CCE Register maintained Yes / No
25. School Code
01 02
26. Teacher PMIS Code _________ _______
27 CCE FA-1 FA-II FA-III FA-IV SA-2

Hindi English Maths EVS

A B C D E A B C D E A B C D E A B C D E
1st
IInd
IIIrd
IVth
Vth
28. Bal Sabha
29 Answer Books were checked properly Yes / No
30 Discipline: -
31 Cleanliness: -
Toilets Yes / No
Kitchen Yes / No
Classroom Yes / No